Effect of the perinatal risk factors on the outcome of the term asphyxiated neonates at the time of discharge in NICU
Abstract
Hypoxic-ischemic encephalopathy (HIE) secondary to perinatal asphyxia remains a major cause of neonatal mortality and morbidity worldwide. Perinatal asphyxia was responsible for 20% of all neonatal deaths. Manifestations of HIE were seen in approximately 1.5% of all babies.
Aims and Objectives of the study: 1.To study the various perinatal risk factors which are contributing to HIE. 2. To study the outcome of the term asphyxiated neonates at the time of discharge in relation to the perinatal risk factors.
Materials and method: This prospective study was conducted on the term asphyxiated babies who were admitted in ASRAM medical college, Eluru during the period of January 2013 to August 2014.
Result: The incidence of the HIE in neonates in the present study is 15.5%. Males neonates were more in number 40 (61.5%) than female neonates 25 (38.5%). Cord entangled twice around the neck was having very poor prognosis 83.4%.
Conclusion: In the present study cord around the neck, the neonates having Apgar score <3 at 5min have shown poor prognosis and deaths. Pediatrician presence at the time of delivery is associated with good prognosis in the neonates.
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References
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